Application for Employment - Sweet Buzz Bean & Bistro

Locations
- We are Open!!!
  Harrison City
  
  Sweet Buzz Bean & Bistro
  3353 Route 130
  Harrison City, Pennsylvania 15636
  Get Directions →
  
  Under Construction
  Downtown Irwin
  
  Sweet Buzz Bean & Bistro
  211 Third Street
  Irwin, Pennsylvania 15642
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  Open Sundays
  Cornerstone Ministries
  
  Sweet Buzz Bean & Bistro
  2200 Cornerstone Lane
  Murrysville, PA 15632
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Catering
- Main Event Buffet
  
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  Small Bites Catering
  
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  Brunch Buffet
  
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  Shower Catering
  
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  Themed Grazing Food Stations
  
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Mobile Espresso Bar
The Buzz
Contact

Application for Employment

Step 1 of 3 - Personal Information

Personal Information
Name
First Last
Social Security No.
Present Address
Street Address City State / Province / Region ZIP / Postal Code Country
Permanent Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone Number
Secondary Phone No.
Referred By
Employment Desired
Position
Date You Can Start
MM slash DD slash YYYY
Are You Employed Now?
- Yes
- No
If So, May We Inquire Of Your Present Employer?
- Yes
- No
Ever Applied To This Company Before?
- Yes
- No
When
When

Former Employers
(List Below Last Four Employers, Starting With Last One First)
From To Name & Address Of Employer Position Reason For Leaving
References
(Give Below The Names Of Three Persons Not Related To You, Whom You Have Known At Least One Year.)
Name Address Business Years Known
Authorization
Consent*
I agree to the below statement.
- I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed falsified statements on this application shall be grounds for dismissal.
- I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the
  Company from all liability for any damage that may result from utilization of such information.
- I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
- This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities act (ADA) and other relevant federal and state laws.
- I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.
- In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the united states and to complete the required employment eligibility verification document form upon hire.
Date*
MM slash DD slash YYYY
Signature*